| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,627 |
1,525 |
$70K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
596 |
506 |
$39K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
579 |
448 |
$31K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
444 |
420 |
$29K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,288 |
1,094 |
$27K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
388 |
347 |
$27K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,484 |
1,252 |
$14K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
561 |
447 |
$13K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
868 |
705 |
$10K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
16 |
16 |
$1K |
| 90474 |
|
111 |
97 |
$621.28 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
24 |
17 |
$585.00 |
| 96127 |
|
78 |
70 |
$336.53 |
| 99173 |
|
53 |
47 |
$254.22 |
| 99177 |
|
36 |
26 |
$179.09 |
| 96161 |
|
42 |
40 |
$4.32 |
| 90647 |
|
89 |
83 |
$0.00 |
| 90688 |
|
148 |
131 |
$0.00 |
| 90680 |
|
127 |
109 |
$0.00 |
| 90723 |
|
73 |
67 |
$0.00 |
| 90686 |
|
298 |
254 |
$0.00 |
| 90716 |
|
12 |
12 |
$0.00 |
| 90670 |
|
309 |
253 |
$0.00 |
| 90685 |
|
77 |
74 |
$0.00 |
| 90707 |
|
12 |
12 |
$0.00 |
| 90734 |
|
12 |
12 |
$0.00 |
| 90633 |
|
66 |
52 |
$0.00 |
| 90648 |
|
34 |
33 |
$0.00 |